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A rare coronary artery anomaly in a 14-year-old boy with sudden cardiac arrest

Published online by Cambridge University Press:  22 September 2022

Sarah Ruffing Open the ORCID record for Sarah Ruffing [Opens in a new window] ,
Hashim Abdul-Khaliq  and
Martin Poryo
Sarah Ruffing*
Affiliation:
Department of Pediatric Cardiology, Universität des Saarlandes - Campus Homburg, Homburg, Germany
Hashim Abdul-Khaliq
Affiliation:
Department of Pediatric Cardiology, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Saarland, Germany
Martin Poryo
Affiliation:
Department of Pediatric Cardiology, Saarland University Medical Center, Homburg/Saar, Germany
*
Author for correspondence: Sarah Ruffing, Department of Pediatric Cardiology, Universität des Saarlandes - Campus Homburg, Homburg, Germany. E-mail: sarah.ruffing@uks.eu
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Abstract

Congenital coronary artery anomalies represent a rare cause for cardiac arrest in children and adults; however, most of these anomalies are asymptomatic and incidental findings. We report on a 14-year-old boy who was admitted to our hospital after cardiopulmonary resuscitation at home. Diagnostic workup including histopathology revealed parvovirus B19 in endomyocardial biopsy. Moreover, cardiac catheterisation as well as CT angiography identified an anomalous origin of the right coronary artery with an interarterial course. Since this anomalous coronary artery might have caused impaired myocardial perfusion causing cardiac arrest, surgical correction and implantation of a cardioverter defibrillator were performed. The further post-operative clinical course (7 months) has been uneventful.

Keywords

Coronary artery anomalycardiac arrestresuscitationimplantable cardioverter defibrillator
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 5 , May 2023 , pp. 829 - 831
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

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